中风“外风”理论与“感染相关性卒中”关系探讨

自金元以来,中风以"内风"为主,"外风致中"的理论逐渐被忽视。风为百病之长,是中医病因学中极为重要的一部分。风邪作为外邪致病的先导,常合并寒、湿、燥、热诸邪侵犯人体。风邪致病,发病急、变化多、传变快,外可侵袭肌表,内可伤及脏腑,遍及全身,无所不至。推断外感邪气与现代医学中病原微生物,如病毒、细菌、衣原体、支原体、真菌、寄生虫等入侵人体导致感染类似,因此可以说"外风致中"与现代医学"感染相关性卒中"有一定相关性。中风病临床研究也发现,感染是中风的重要和独立的危险因素,"外风致中"学说不容忽视。

Discussion on Relationship between "External Wind" and "Infection Related Stroke"

Since Jin and Yuan Dynasties, "internal wind" has been regarded as the major cause of the stroke,while "external wind" has been neglected. The wind pathogen is the chief cause of all diseases,and the major disease cause in traditional Chinese medicine(TCM). As the guide of other external pathogens,wind pathogen often invades the human body in combination with coldness,dampness,dryness and heat. Diseases caused by the wind pathogen are acute,with varied changes and rapid transmission. Wind pathogen can affect the body surface externally and damage the organs internally. It could affect the whole body. Diseases caused by the wind pathogen are similar to the infectious diseases caused by the viruses,bacteria,mycoplasma,chlamydia,fungi,parasites and other pathogens of the western medicine. Thus,it is concluded that"stroke caused by the external wind" of TCM is similar to the "infection related stroke" of the western medicine. More and more clinical studies have shown that infection is an important and independent risk factor for stroke,which could prove that "stroke caused by external wind" is sound and reasonable.